BOC: Living healthcare

Bullnose cylinders. Guide to using with a regulator.

Best-in-class cylinder packages

BOC Healthcare are continually reviewing the specication and design of their gas cylinder packages, in order to provide a robust, reliable and safe package. This ensures provision of gas packages which are capable of delivering high quality gas to support patient safety.

The same valve is currently tted to a number of other medical gases, but these are due to be phased out over a number of years. The Bullnose regulator used with this cylinder is screwed into the top of the valve outlet. This instruction guide concentrates on tting a regulator to a Bullnose cylinder. However the same principles apply to the use and tting of equipment to any medical gas cylinder. With BOC as your cylinder supplier, you can be sure to benet.

Bullnose cylinders
The Bullnose valve has a threaded valve connection and is primarily tted to large medical oxygen cylinders used for treating patients on the wards.

Bullnose cylinder
Tamper evident seal

Bullnose regulator
Integral ow selector (on some models)

Firtree

Collar label clear product identity Bar code

Contents gauge

product identity Hand tight connector Threaded connection

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Cylinder instructions

Cylinder instructions

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Instructions for use.

1. Initial safety checks
Before handling cylinders or the associated medical equipment/ regulators ensure your hands are clean. If you have been using alcohol based gel or liquids to decontaminate your hands make sure the alcohol has totally evaporated. When setting up cylinders for patient use it is good practice to connect the regulator to the cylinder, t the ancillary equipment to the regulator and test the complete system before placing the cylinder near the patient. 3.9 With the valve shut, allow the residual gas to vent. Remove the regulator and re-inspect the O ring seal. 3.10 The O ring seal should show no signs of wear or damage (see O ring seal wear and damage diagram). If in doubt replace with a new one. 3.11 Ret the regulator and open the valve. Re-check for leaks If leaks continue, turn o the cylinder and inform BOC to arrange for its return and replacement.

Note:
It is good practice to routinely change the O ring seals on your equipment. We recommend that seals are changed every year (or sooner if they show signs of wear). O Ring seals can be obtained from BOC Healthcare, call 0800 111 333 quoting part number 10147791 .

2. Preparing a new cylinder for use

4. Monitoring during use

2.1 Ensure you have the correct medical gas by checking the cylinder label.

2.2 Check the expiry date on the batch label, normally tted to the tamper evident seal on top of the cylinder. We recommend you return cylinders which have passed their expiry date.

2.3 Remove the tamper evident seal by pulling the tear strip around the base of the cap. Retain the white plastic cap on the cylinder to ret to the valve outlet after use.

2.4 Lift the cap and inspect the valve outlet to ensure that it is clean and free from oil or grease, with no obvious signs of damage. If the valve appears damaged or contaminated it must not be used and should be returned to BOC.

4.1 Ensure the clinical condition of the patient remains satisfactory throughout the therapy.

4.2 Check the contents gauge on the regulator at regular intervals to ensure there is sucient gas for continued use.

4.3 If you notice leaks whilst in use, repeat steps number 3.8 to 3.11 above. Ensure the gas supply for the patient is maintained.

4.4 Shut of the gas whenever the cylinder is not in use. Do not use excessive force.

5. After use

3. Connecting a regulator to the cylinder

3.1 Check you have the correct regulator for the medical gas. Ensure the regulator is not due for any routine maintenance.

3.2 Check the Bullnose regulator connection is clean and free from oil or grease.

3.3 Check the O ring seal is in place, is in good condition and free from oil or grease. If it is worn or damaged, replace the seal with a new one.

3.4 Fit the regulator to the cylinder by turning the hand tight connector clockwise to tighten. Do not apply excessive force.

5.1 Check the cylinder contents gauge to see whether it has sucient gas for further use. If the cylinder is empty return to the cylinder store.

5.2 Close the cylinder valve using an appropriate cylinder key. Do not use excessive force

5.3 Allow the regulator to vent to atmosphere by selecting a ow on the system. Remove the regulator when the contents gauge reads zero.

5.4 Replace the cap over the valve to prevent contamination and return the cylinder to the appropriate in use or empty cylinder store.

O ring seal wear and damage

In the event of an emergency, or if you suspect your cylinder is leaking, contact BOC Healthcare on 0800 111 333.

Blistered

Feathered

Split

3.5 Attach appropriate gas delivery equipment to the regulator rtree outlet. Where the regulator has a ow selector set this to zero before turning on the gas.

3.6 Open the cylinder slowly using an appropriate cylinder key Do not apply excessive force.

3.7 Where the regulator has a ow selector set the ow to the prescribed ow rate.

3.8 Check for leaks by listening for a hissing sound. If you suspect a leak shut o the valve.
Perished Chipped Cracked

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Cylinder instructions

Medical oxygen Bullnose cylinder range

Oxygen Nominal contents (litres) Nominal cylinder pressure (bar) Dimensions L x D (mm)* Nominal weight full (kg) 101-AF 1360 137 670 x 175 12.0 101-F 1360 137 930 x 140 17.0 101-G 3400 137 1320 x 178 3.9

We also supply cylinders with Bullnose valve connections for other medical gases including: Medical air 191-F 1280 137 930 x 140 17.0 Helium** 163-F 1200 137 930 x 140 17.0 Carbogen (5% CO2/95% O2) 131-F 131-G 1360 3400 137 137 930 x 140 1320 x178 17.0 39.0

Nominal contents (litres) Nominal cylinder pressure (bar) Dimensions L x D (mm)* Nominal weight full (kg) Carbon dioxide/oxygen mixtures Nominal contents (litres) Nominal cylinder pressure (bar) Dimensions L x D (mm)* Nominal weight full (kg)

191-G 3200 137 1320 x 178 39.0

131-J 6800 137 1520 x 229 78.0

5%/95% 288931-AV-PC 288931-L-PC 1460 7300 137 137 680 x 180 1540 x 230 19.0 85.0

10%/90% 299032-AV-PC 299032-L-PC 1460 7300 137 137 680 x 180 1540 x 230 19.0 86.0

20%/80% 299954-AV-PC 299954-L-PC 1530 7650 137 137 680 x 180 1540 x 230 19.0 87.0

Carbon dioxide/air mixture Nominal contents (litres) Nominal cylinder pressure (bar) Dimensions L x D (mm)* Nominal weight full (kg)

5%/95% 299034-AV-PC 299034-L-PC 1350 6750 137 137 680 x 180 1540 x 230 18.0 82.0

Helium/oxygen/ nitrogen mixture Nominal contents (litres) Nominal cylinder pressure (bar) Dimensions L x D (mm)* Nominal weight full (kg)

9%/35%/56% 299035-AV-PC 299035-L-PC 1310 6580 137 137 680 x 180 1540 x 230 18.0 81.0

* (including valve) ** Only available in Ireland

Safety information and precautions

Do not store or use medical gas cylinders near naked ames, sources of ignition or combustible materials. Ensure medical gas cylinders are stored in a safe and secure area where they cannot fall over and cause injury. Clearly identify the storage areas with appropriate signage. Ensure separation of full and empty cylinders. Store medical gas cylinders separately from industrial and other non medical cylinders in a well-ventilated area that is clean and dry, preferably inside. Smoking should not be permitted in the vicinity where cylinders are used or stored.

Ensure labels remain clearly visible at all times and not removed or covered. Unauthorised labels/tags must not be tted. Use a suitable trolley to transport and support cylinders. Any stationary cylinder trolley in a ward area should be xed in place to prevent it falling over. When using the cylinder with a regulator prepare the cylinder for use prior to placing the cylinder near the patient. Do not use oil or grease (or any oil-based products, which includes hand creams) in the vicinity of medical gas cylinders. If you need to clean the cylinder do not use any materials which contain ammonium or chlorine compounds. Do not rell the cylinder or attempt to tamper with the cylinder package.

If you require a replacement, or have concerns about your cylinder package, please contact our Customer Service Centre on 0800 111 333 quoting your account number. This number should also be used in the unlikely event of an emergency or if you suspect your cylinder is leaking (our Customer Service Centre is open 365 days a year, 24 hours a day).

BOC Healthcare Great Britain & N. Ireland Customer Service Centre, Priestley Road, Worsley, Manchester M28 2UT Phone 0800 111 333, Fax 0800 111 555 Email bochealthcare-uk@boc.com, www.bochealthcare.co.uk

BOC Healthcare, Republic of Ireland PO Box 201, Bluebell, Dublin 12, Republic of Ireland Phone 01 409 1827, Fax 01 409 1854 Email healthcareinfo.ie@boc.com, www.BOConline.ie

The stripe symbol and the letters BOC are registered trade marks of The BOC Group Limited. Both BOC Limited and The BOC Group Limited are members of The Linde Group, the parent company of which is Linde AG. Reproduction without permission is strictly prohibited. Copyright 2012

HLC/503365/BAMC/1012